| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $438.68 | $557.59 | $557.59 | |
Medica
| Facility | $510.61 | $844.53 | $1,446.47 | |
Midlands
| Facility | $902.00 | $1,337.01 | $5,269.25 | |
Sanford Health Plan
| Professional | $632.65 | $899.19 | $1,101.08 | |
United
| Facility | $4,500.00 | $4,500.00 | $4,500.00 |